Management of Woman With Rheumatic Mitral Stenosis During Pregnancy: Importance of Multimodality Evaluation

Nare Torosyan; Tejal Ghadiali; Anil Mehra; Uri Elkayam

doi:10.1016/j.jaccas.2024.102628

Management of Woman With Rheumatic Mitral Stenosis During Pregnancy: Importance of Multimodality Evaluation

JACC Case Rep. 2024 Oct 16;29(20):102628. doi: 10.1016/j.jaccas.2024.102628.

Authors

Nare Torosyan¹, Tejal Ghadiali², Anil Mehra¹, Uri Elkayam¹

Affiliations

¹ Division of Cardiology, Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
² Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California USA.

Abstract

A 29-year-old woman with a history of severe rheumatic mitral stenosis status post mitral valvuloplasty presented with worsening dyspnea on exertion during her second pregnancy. She underwent multimodality evaluation throughout her pregnancy, which helped to guide medical therapy and prevent unnecessary mechanical intervention and premature delivery.

Keywords: mitral stenosis; peripartum; pregnancy; rheumatic heart disease; valvular heart disease.

Publication types

Case Reports